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Contact Information

ANDREW BLACK III, DPT, OCS
1725 LASKIN RD
VIRGINIA BEACH, VA23454
 Phone: 757-652-4417
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ANDREW BLACK III · (Male)

NPI Number 1245620137
Status Active
Credentials DPT, OCS
Entity Individual
Enumeration date 01/29/2015
Last updated 01/29/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 2305204346
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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